Student Form
We are so excited you are enrolling! Please fill out all fields, including times to call you regarding payment for your classes.
I understand that enrollment at Passion Studios means I and my student are in 100% agreement of the Studio Policy and its terms. (Initial Required Below) *
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I understand that I will need to sign a physical copy of the Passion Studios Music Lessons Agreement before my first lesson. *
Required
Please select your preferred, most prompt method of contact. *
Student First Name *
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Student Last Name *
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Student DOB *
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Parent First Name *
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Parent Last Name *
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Parent Phone *
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Parent Email *
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Address 1 *
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Address 2 *
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City *
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State *
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Zip Code *
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Secondary Contact Name *
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Secondary Contact Phone *
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Secondary Contact Email *
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Tell me about your child. (Note any special learning needs, sensory input, etc.)
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Will you be primary life coach or shared life coach? If shared, Please list name and email of other life coach below: *
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How did you hear about Passion Studios? *
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Student: Imagine you can play the piano however you want! What is your dream? *
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Does anyone in your household/close family play an instrument? If so what and how long? *
Your answer
What's your favorite style of music/music artists if you have them? *
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Can you read music? If so, please elaborate on how proficiently. *
Your answer
Where is your keyboard/piano located? *
What other hobbies/activities are you involved in? Please list the season and duration of each hobby: *
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I hereby consent to the photographing and videotaping of the student named above for social media sites. *
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I hereby consent to the photographing and videotaping of the student named above for print, marketing or other business material. *
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I release Passion Studios LLC and any associated/affiliated companies, and employees from all claims of every kind for such use.(sign below) *
Your answer
If the child is under 18: I am the parent/legal guardian of the child. I have read this release and approve of its terms. (sign below) *
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I want to receive an email notification when my child begins practice each day. *
Students: I would like to share my practice time with the studio!
We need to call you to get your availability and collect payment, you will receive a text and email confirmation for this appointment. Please provide the best day and time to call; select all applicable from the list below: *
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